Did You Inherit This HSA? Understanding the Basics of Health Savings Accounts

Health Savings Accounts (HSAs) are a powerful tool for managing healthcare costs, but many people are unsure about the rules surrounding inheritance of an HSA. If you have inherited an HSA, it's essential to understand how it works and what your options are.

HSAs can be inherited by a spouse or non-spouse beneficiary, each with its own set of rules and implications. Here are some key points to consider:

  • Spouse Beneficiary:
    • Spouse beneficiaries can treat the inherited HSA as their own.
    • They can use the funds for qualified medical expenses as they see fit.
    • If the spouse is not an HSA-eligible individual, the account loses its HSA status, and any non-qualified withdrawals are subject to taxes.
  • Non-Spouse Beneficiary:
    • Non-spouse beneficiaries cannot contribute to the inherited HSA.
    • They must transfer the funds into an inherited HSA or liquidate the account.
    • Any non-qualified withdrawals are subject to taxes and potential penalties.

It's crucial to consult with a financial advisor or tax professional to understand the specific rules that apply to your situation. By knowing your options and obligations, you can make informed decisions about managing an inherited HSA.


Inheriting a Health Savings Account (HSA) can be a bit overwhelming, but knowing the nuances can help you benefit from it. As a personal tax-advantaged savings account, it allows you to set aside money for medical expenses, and understanding the rules can help you make the most of your inheritance.

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